| NPI | 1568523744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI D CHAUCER Owner 985-345-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: LA 2401) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |